Individual provider Active NPI

Patricia Brozinsky, PH.D., LCSW-R

  • Clinical Social Worker
  • East Patchogue, NY
National Provider Identifier
1013182864
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR041702 Issued in NY
Practice address
34 Myrtle LN
East Patchogue, NY 11772-5723
Phone
(631) 730-8225
NPI assigned
Apr 23, 2008
Last updated
Apr 23, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X PR041702 NY Primary

Addresses

Primary practice location

34 Myrtle LN
East Patchogue, NY 11772-5723

Mailing address

34 Myrtle LN
East Patchogue, NY 11772-5723
Phone (631) 730-8225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140918000549 NY Practitioner - Clinical Social Worker 5698994945 Practice locations: East Patchogue, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

34 Myrtle LN
East Patchogue, NY 11772-5723
Phone (631) 730-8225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PR041702NYMDClinical Social Worker
041702NYMDGeneral Practice Dentistry

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208908800000",
    "number": "1013182864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 MYRTLE LN",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117725723",
            "telephone_number": "631-730-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 MYRTLE LN",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117725723",
            "telephone_number": "631-730-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROZINSKY",
        "first_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "PH.D., LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR041702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Patchogue, NY

Sources for this page

Verify at the official NPI Registry.